Reclast prep questions

wildgoose, call the infusion center as early as possible tomorrow morning and request IV fluids before the infusion. Explain you situation and ask if you need to call your physician to have that ordered. They might call for you or might just give you the extra fluid and the extra time
The Stanford doctor who ran the clinical trials on Reclast offers this advice.
"A opposed to administering the 5 mg of zoledronic acid in 100 mL of D5W and infusing it over 15 minutes, for the past 29 years I have had the infusion nurse at Stanford dilute it into 500 mL of NS, and to infuse the 600 mL of now diluted BP over 60 minutes. TRUST ME!! By diluting it and administrating it more slowly, it improves the renal (kidney) safety.
The othr thing I do is to instruct the infusion nurses to give the patient 650 mg of acetaminophen (Tylenol) during the infusion. Then I tell the patients to take that same dose (two regular strength tablets) with dinner and at bedtime the day of the infusion, with all 3 meals and at bedtime the day after the infusion, and a final (7th) dose with breakfast the 2nd morning after the infusion. This reduces the patient's risk of experiencing a symptomatic APR from >28% to < 1%."
endodoc
The fluids and the longer infusion are really important giving your kidneys more time to filter out the bisphosphonate.
If it is too late for all of this, I'd reschedule. You should take water with you to sip during the infusion.
Some have a difficult time with side effects. The APR is said to be an achy flu that can last a week or more.
To start out dehydrated puts you a a disadvantage that you don't need.
I hope it goes well. Let us know how you fare.

loll, sometimes the infusion centers are happy to cater to patient requests. I've heard of people being denied the dilution because the center didn't have the IV fluid available. There was a shortage of IV fluid a couple of years back.
It's nice if the doctor writes the order with the extra fluid have to return. Best luck with the infusion. Reclast can cause hypocalcemia, but your doctor is probably watching your levels. Will you have bone markers,

I did request the physician to give me some IV fluids first. I haven’t heard back from him yet. He did prescribe the steroids to take the day of and one each day following the infusion. He did request that the infusion Be delivered over 45 minutes to 60 minutes rather than the typical 15. I’m trying to chug the water and appreciate all of your good guidance. Thank you or let you all know how this goes today.

Good luck to you wildgoose - I did the protocol gently mentioned to the letter - can't remember where I read about endodoc; maybe on inspsire? Had zero side effects. My infusion center had never heard of or done a slower drip, was in and out in less than 40 minutes (including 20 to sit and see if I had a reaction).

@wildgoose14
Thanks for the hug. I want everyone to know. I had my first infusion of class yesterday. Everything went perfectly. I feel like the advice I got on here to hydrate the day before and the day of and should take the Tylenol really helped make yesterday painless. They did infuse the rec class at 45 minutes instead of 15. So far I’m feeling great and I feel like I had a positive attitude going into this I had backed out three times before for Prolia and now I’m thinking this was a good decision. Thank you everyone and my name is Pat.